N.H. Admin. Code § He-W 549.10

Current through Register No. 50, December 12, 2024
Section He-W 549.10 - Payment for Services
(a) Payment for home visiting for prenatal, child, and family support services shall be made, per 15-minute unit of service, in accordance with rates established by the department in accordance with RSA 161:4, VI(a).
(b) For billing purposes, the number of units shall be calculated in accordance with (b)(1) and (2) and Table 549.1 entitled Calculations for Payment for Services below:
(1) Any period of time that consists of 8 minutes or less shall not be billed; and
(2) Any period of time that consists of more than 8 minutes shall be billed as one unit.

Table 549.1 Calculations for Payment for Services

Number of minutes

Number of 15-minute units that can be billed

Fewer than 8 minutes

No units can be billed

8 minutes up to 22 minutes

1 unit

23 minutes up to 37 minutes

2 unit

38 minutes up to 52 minutes

3 unit

53 minutes up to 67 minutes

4 unit

68 minutes up to 82 minutes

5 unit

83 minutes up to 97 minutes

6 unit

98 minutes up to 112 minutes

7 unit

113 minutes up 127 minutes

8 unit

(c) The participating provider shall submit claims for payment to the department's fiscal agent.
(d) The participating provider shall maintain supporting records, in accordance with He-W 520.

N.H. Admin. Code § He-W 549.10

#10092, eff 3-1-12 (from He-W 549.09 )

Amended by Volume XLII Number 28, Filed July 14, 2022, Proposed by #13402, Effective 7/1/2022, Expires 7/1/2032.